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NR605 Final Exam 2025 – Actual
Psychiatric-Mental Health Across the
Lifespan I Practicum (Weeks 5–8) |
Verified Questions and 100% Correct
Answers – Chamberlain
Question 1
A client in group therapy shares feelings of guilt about past actions, which relieves their
emotional distress. Which principle of group therapy is this an example of?
A. Altruism
B. Catharsis
C. Universality
D. Group cohesiveness
Correct Answer: B. Catharsis
Rationale: Catharsis involves releasing strong or repressed emotions, reducing emotional
distress. Sharing guilt in group therapy exemplifies this principle. Altruism involves helping
others, universality is recognizing shared experiences, and group cohesiveness is the sense of
belonging.
Question 2
A client in group therapy feels less isolated after hearing others share similar struggles. Which
principle of group therapy is this?
A. Corrective recapitulation
B. Universality
C. Imparting information
D. Instillation of hope
Correct Answer: B. Universality
Rationale: Universality occurs when group members realize they are not alone in their struggles,
reducing feelings of isolation. Corrective recapitulation addresses family dynamics, imparting
information involves learning, and instillation of hope fosters optimism.
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Question 3
A client in a support group helps another member cope with grief. Which principle of group
therapy is demonstrated?
A. Catharsis
B. Altruism
C. Existential factors
D. Socializing techniques
Correct Answer: B. Altruism
Rationale: Altruism is shown when group members support each other, enhancing self-worth.
Catharsis involves emotional release, existential factors address life’s meaning, and socializing
techniques focus on interpersonal skills.
Question 4
A client in group therapy reenacts unresolved sibling conflicts with other group members. Which
principle is this?
A. Corrective recapitulation of the primary family group
B. Development of socializing techniques
C. Group cohesiveness
D. Imitative behavior
Correct Answer: A. Corrective recapitulation of the primary family group
Rationale: Corrective recapitulation allows clients to work through unresolved family issues,
such as sibling conflicts, in the group setting. Other options focus on social skills, group
bonding, or modeling behavior.
Question 5
What is the primary focus of psychoeducational groups?
A. Emotional release
B. Teaching specific topics
C. Peer-led support
D. Safety and stabilization
Correct Answer: B. Teaching specific topics
Rationale: Psychoeducational groups focus on structured learning about specific topics, such as
managing mental health conditions. Emotional release is catharsis, peer-led support is for self-
help groups, and safety is prioritized in inpatient groups.
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Question 6
Which type of group is most appropriate for clients experiencing grief after a loss?
A. Psychoeducational group
B. Support group
C. Self-help group
D. Inpatient group
Correct Answer: B. Support group
Rationale: Support groups provide encouragement and validation for shared experiences like
grief. Psychoeducational groups teach skills, self-help groups are peer-led, and inpatient groups
focus on acute stabilization.
Question 7
A client in a self-help group states, “I feel less alone hearing others’ stories.” Which type of
group is this?
A. Psychoeducational group
B. Support group
C. Self-help group
D. Inpatient group
Correct Answer: C. Self-help group
Rationale: Self-help groups are peer-led and focus on shared experiences, reducing feelings of
isolation. Psychoeducational groups are structured, support groups are clinician-led, and
inpatient groups focus on acute care.
Question 8
During which phase of group formation do power struggles and conflicts typically arise?
A. Forming
B. Storming
C. Norming
D. Performing
Correct Answer: B. Storming
Rationale: The storming phase involves conflicts and power struggles as group members
challenge leadership and norms. Forming is orientation, norming establishes cohesion, and
performing focuses on productivity.
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Question 9
A client with depression believes, “I’ll never succeed at anything.” Which cognitive distortion is
this?
A. Overgeneralization
B. Catastrophizing
C. Emotional reasoning
D. All-or-nothing thinking
Correct Answer: A. Overgeneralization
Rationale: Overgeneralization involves making broad negative conclusions based on a single
event, such as “never succeeding.” Catastrophizing predicts worst-case outcomes, emotional
reasoning bases beliefs on feelings, and all-or-nothing thinking is absolute.
Question 10
Which cognitive behavioral therapy (CBT) technique involves questioning a client’s automatic
thoughts to examine their logic?
A. Decatastrophizing
B. Socratic dialogue
C. Behavioral activation
D. Cognitive restructuring
Correct Answer: B. Socratic dialogue
Rationale: Socratic dialogue uses guided questioning to help clients examine and challenge
automatic thoughts. Decatastrophizing reduces exaggerated fears, behavioral activation
encourages activity, and cognitive restructuring reframes thoughts.
Question 11
A client with anxiety says, “If I fail this test, my life is over.” Which CBT technique should the
nurse use?
A. Socratic dialogue
B. Exposure therapy
C. Behavioral rehearsal
D. Decatastrophizing
Correct Answer: D. Decatastrophizing
Rationale: Decatastrophizing helps clients reduce exaggerated fears about worst-case scenarios,
like believing life is over after a test failure. Socratic dialogue examines thoughts, exposure
therapy addresses avoidance, and behavioral rehearsal practices skills.
NR605 Final Exam 2025 – Actual
Psychiatric-Mental Health Across the
Lifespan I Practicum (Weeks 5–8) |
Verified Questions and 100% Correct
Answers – Chamberlain
Question 1
A client in group therapy shares feelings of guilt about past actions, which relieves their
emotional distress. Which principle of group therapy is this an example of?
A. Altruism
B. Catharsis
C. Universality
D. Group cohesiveness
Correct Answer: B. Catharsis
Rationale: Catharsis involves releasing strong or repressed emotions, reducing emotional
distress. Sharing guilt in group therapy exemplifies this principle. Altruism involves helping
others, universality is recognizing shared experiences, and group cohesiveness is the sense of
belonging.
Question 2
A client in group therapy feels less isolated after hearing others share similar struggles. Which
principle of group therapy is this?
A. Corrective recapitulation
B. Universality
C. Imparting information
D. Instillation of hope
Correct Answer: B. Universality
Rationale: Universality occurs when group members realize they are not alone in their struggles,
reducing feelings of isolation. Corrective recapitulation addresses family dynamics, imparting
information involves learning, and instillation of hope fosters optimism.
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Question 3
A client in a support group helps another member cope with grief. Which principle of group
therapy is demonstrated?
A. Catharsis
B. Altruism
C. Existential factors
D. Socializing techniques
Correct Answer: B. Altruism
Rationale: Altruism is shown when group members support each other, enhancing self-worth.
Catharsis involves emotional release, existential factors address life’s meaning, and socializing
techniques focus on interpersonal skills.
Question 4
A client in group therapy reenacts unresolved sibling conflicts with other group members. Which
principle is this?
A. Corrective recapitulation of the primary family group
B. Development of socializing techniques
C. Group cohesiveness
D. Imitative behavior
Correct Answer: A. Corrective recapitulation of the primary family group
Rationale: Corrective recapitulation allows clients to work through unresolved family issues,
such as sibling conflicts, in the group setting. Other options focus on social skills, group
bonding, or modeling behavior.
Question 5
What is the primary focus of psychoeducational groups?
A. Emotional release
B. Teaching specific topics
C. Peer-led support
D. Safety and stabilization
Correct Answer: B. Teaching specific topics
Rationale: Psychoeducational groups focus on structured learning about specific topics, such as
managing mental health conditions. Emotional release is catharsis, peer-led support is for self-
help groups, and safety is prioritized in inpatient groups.
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Question 6
Which type of group is most appropriate for clients experiencing grief after a loss?
A. Psychoeducational group
B. Support group
C. Self-help group
D. Inpatient group
Correct Answer: B. Support group
Rationale: Support groups provide encouragement and validation for shared experiences like
grief. Psychoeducational groups teach skills, self-help groups are peer-led, and inpatient groups
focus on acute stabilization.
Question 7
A client in a self-help group states, “I feel less alone hearing others’ stories.” Which type of
group is this?
A. Psychoeducational group
B. Support group
C. Self-help group
D. Inpatient group
Correct Answer: C. Self-help group
Rationale: Self-help groups are peer-led and focus on shared experiences, reducing feelings of
isolation. Psychoeducational groups are structured, support groups are clinician-led, and
inpatient groups focus on acute care.
Question 8
During which phase of group formation do power struggles and conflicts typically arise?
A. Forming
B. Storming
C. Norming
D. Performing
Correct Answer: B. Storming
Rationale: The storming phase involves conflicts and power struggles as group members
challenge leadership and norms. Forming is orientation, norming establishes cohesion, and
performing focuses on productivity.
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Question 9
A client with depression believes, “I’ll never succeed at anything.” Which cognitive distortion is
this?
A. Overgeneralization
B. Catastrophizing
C. Emotional reasoning
D. All-or-nothing thinking
Correct Answer: A. Overgeneralization
Rationale: Overgeneralization involves making broad negative conclusions based on a single
event, such as “never succeeding.” Catastrophizing predicts worst-case outcomes, emotional
reasoning bases beliefs on feelings, and all-or-nothing thinking is absolute.
Question 10
Which cognitive behavioral therapy (CBT) technique involves questioning a client’s automatic
thoughts to examine their logic?
A. Decatastrophizing
B. Socratic dialogue
C. Behavioral activation
D. Cognitive restructuring
Correct Answer: B. Socratic dialogue
Rationale: Socratic dialogue uses guided questioning to help clients examine and challenge
automatic thoughts. Decatastrophizing reduces exaggerated fears, behavioral activation
encourages activity, and cognitive restructuring reframes thoughts.
Question 11
A client with anxiety says, “If I fail this test, my life is over.” Which CBT technique should the
nurse use?
A. Socratic dialogue
B. Exposure therapy
C. Behavioral rehearsal
D. Decatastrophizing
Correct Answer: D. Decatastrophizing
Rationale: Decatastrophizing helps clients reduce exaggerated fears about worst-case scenarios,
like believing life is over after a test failure. Socratic dialogue examines thoughts, exposure
therapy addresses avoidance, and behavioral rehearsal practices skills.
